The Curative Effect Of The Short-term Rehabilitation Treatment Based On Movement On CWP Patients In Datong Coal Mine

Objectives In this study, through the short-term movement-based rehabilitation ofCWP patients in Datong Coal Mine, analysis the differences of curative effect betweenrehabilitation and ordinary treatment, discussion the best treatment and and care methodson CWP patients, to provide a scientific basis and standard for Datong Prevention andTreatment Center with reasonable and effective treatment CWP patients.Methods The existing survival data of CWP patients in Datong Prevention andTreatment Center in Shanxi Province was collected. Patients were screened in accordancewith inclusion criteria, and agreed to enter the study cohort. Patients were randomlydivided into experimental and control groups. Experimental group were trained withhealth education, pulmonary rehabilitation, athletic ability training. In the control groupto maintain the original lifestyle, were used only conventional medical therapy andsimple rehabilitation exercises. Treatment for6months. The lung function, body massindex (BMI), six-minute walk distance (6MWD), St. George’s Respiratory Questionnaire(SGRQ), Quality of Life Questionnaire (SF36) and Depression Scale (HADS) data ofpatients were investigated and collected. SPSS17.0was used to statistically analyze. Thecoal workers’ pneumoconiosis patient’s age6WMD, BMI, SF-36, SGRQ, VC, FVC,FEV1, FEV1/FVC was used t test. The smoking, pneumoconiosis stage and HADS wasused Fisher’s Exact Test. The curative effect of movement-based rehabilitation wasassessed.Results74patients with complete information, the experimental group42patients, thecontrol group32patients. In the experimental group, the average6MWD in the beginningwas510.38±70.03m, ending was577.45±55.01m; In the control group, beginning was497.95±59.77m, ending was506.62±59.10m.6MWD of the ending of the experimentalgroup was higher than control group. Comparison of the experimental group before andafter,6MWD was increased67.07m, the difference was statistically significant (P<0.05).Itindicates that short-term movement-based rehabilitation can improve athletic ability ofpatients.BMI, in the experimental group at the beginning was24.41±2.37,at the ending was24.73±2.48; in the control group at the beginning was23.61±2.53, at the ending was23.61±2.53, the BMI difference between before and after in two groups was notstatistically significant (P>0.05). Quality of Life Questionnaire (SF36) scores, in theexperimental group at the beginning was121.42±10.72, at the ending was131.61±11.08; inthe control group at the beginning was117.88±6.60,at the ending was113.48±15.03.Questionnaire scores of the experimental group at the ending were higher than controlgroup. Comparison of the experimental group itself before and after, scores increased10.19, the difference was statistically significant (P<0.05). It indicates that short-termmovement-based rehabilitation can improve life quality of patients. SGRQ scores, in theexperimental group at the beginning was26.36±11.56, at the ending was12.74±8.03; in the control group at the beginning was25.19±7.60,at the ending was25.63±10.46.Questionnaire scores of the experimental group at the ending were higher than controlgroup. Comparison of the experimental group itself before and after, scores decreased13.62, the difference was statistically significant (P<0.05). It indicates that short-termmovement-based rehabilitation can ameliorate the symptom of dyspnea of patients.Anxiety conditions, in the experimental group at the beginning39negative,3positive, atthe ending41negative,1positive; in the control group, at the beginning28negative,4positive; at the ending31negative,1positive. There was no significant difference betweenbefore and after in two groups (P>0.05). Depression conditions, in the experimental groupat the beginning42negative,0positive, at the ending42negative,0positive; in the controlgroup, at the beginning30negative,2positive; at the ending29negative,3positive. Therewas no significant difference of depression conditions in control group (P>0.05). VC, inthe experimental group at the beginning was112.36±15.74, at the ending was121.76±16.31;in control group at the beginning was121.00±17.58, at the ending was123.03±18.95.Treatment difference of experimental group before and after was9.00(4.00,14.00), thecontrol group was2.50(-0.75,7.75). The improvement of experimental group before andafter treatment was better than control group, the difference was statistically significant(P<0.05). It indicates that short-term movement-based rehabilitation can improve VC ofpatients. FVC, in experimental group at the beginning was112.81±17.06, at the endingwas121.33±16.44, in the control group at the beginning was121.44±17.97, at the endingwas124.03±18.28. The difference before and after the control group in experimental groupwas8.50(3.75,14.00), in control group was4.50(-1.00,9.00), The improvement ofexperimental group before and after treatment was better than control group, the differencewas statistically significant (P<0.05). It indicates that short-term movement-basedrehabilitation can improve FVC of patients. FEV1,in the experimental group at thebeginning was94.62±16.44, at the ending was was98.71±17.48; in the control group at thebeginning was102.00±17.19, at the ending was102.43±18.77.There was no significantdifference in FEV1before and after of two groups(P>0.05). A second rate(FVC/FEV1), inthe experimental group at the beginning was65.21±7.97, at the ending was63.24±8.12;inthe control group at the beginning was65.16±8.00, at the ending was63.79±8.09. Thedifference of a second rate between before and after of the two groups was not statisticallysignificant (P>0.05).Conclusions1The movement-based rehabilitation extends6MWD of patients, improvesthe athletic ability of patients.2The movement-based rehabilitation ameliorates the qualityof life of patients.3The movement-based rehabilitation ameliorates the symptom ofdyspnea of patients.4The movement-based rehabilitation improves the VC and FVC ofpatients.